Nursing facility services require prior authorization from the Nevada Medicaid Office.

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Nursing facility services require prior authorization from the Nevada Medicaid Office."

Transcription

1 Attachment 3.1-A Page 2a 4.a. Nursing facility services require prior authorization from the Nevada Medicaid Office. 4.b. Early Periodic Screening, Diagnostic, and Treatment (EPSDT) services as defined in 42 CFR 440AO(b). All medically necessary diagnostic and treatment services will be provided to EPSDT recipients to treat conditions detected by periodic and interperiodic screening services, even if the services are not included in the "State Plan." 1. School Based Child Health Services School based health services include covered medical services, treatment, and other measures to correct or ameliorate any physical or mental disability. Services are provided by or through a Local Education Agency (LEA) to children with or suspected of having disabilities, who attend public school in Nevada, recommended by a physician or other licensed practitioners of the healing arts to special education students. Assessment, diagnosis, and evaluation services, including testing, are services used to determine Individuals with Disabilities Education Act (IDEA) eligibility or to obtain information on the individual for purposes of identifying or modifying the health related services on the Individualized Education Plan (IEP)/Individualized Family Service Plan (IFSP). These services are not covered ifthey are performed for educational purposes (e.g. academic testing or are provided to an individual who as the result of the assessment and evaluation is determined not to be eligible under IDEA. Services must be performed by qualified providers as set forth in this State Plan Amendment and who provide these services as part oftheir respective area ofpractice (e.g., psychologist providing a behavioral health evaluation). Service Limitations Services provided in a school setting will only be reimbursed for recipients who are at least three years ofage and under 21 years who have been determined eligible for Title XIX and IDEA, Part B services with a written service plan (an IEPIEFSP) which contains medically necessary services recommended by a physician or other practitioner of the healing arts, within the scope of his or her practice under state law. For children ages 0-3, these direct services are available through the Early Intervention program and community providers, but are not provided in a school based setting. TN No Approval Date:.-J.U.L.2...Q..09 Effective Date: July 1, 2009 TN No

2 Attachment 3.1-A Page 2b Medicaid does not reimburse for social or educational needs or habilitative services. Medicaid does cover 1905(a) medical services addressed in the IEP that are medically necessary that correct or ameliorate a child's health condition. Medicaid covered services are provided in accordance with the established service limitations. The services are defined as follows: A. Physicians' services furnished in the school environment. Services: As regulated under 42 CFR and other applicable state and federal law or regulation. Nevada Medicaid reimburses for covered medical services that are reasonable and medically necessary, performed by a physician or under the personal supervision ofa physician, and that are within the scope ofpractice oftheir prognosis as defined by state law. Services must be performed by the physician or by a licensed professional working under the personal supervision ofthe physician, such as: a. Evaluation and consultation with providers of covered services for diagnostic and preventive services including participation in a multi-disciplinary team assessment; b. Record review for diagnostic and prescriptive services; c. Diagnostic and evaluation services to determine a recipient's medically related condition that results in the recipient's need for medical services. Licensure as a Physician by the Nevada State Board of Medical Examiners acting within their scope ofpractice (Nevada Revised Statue (NRS) , , , Nevada Administrative Code (NAC) ), and 42 CFR B. Physician's Assistant services furnished in the school environment. Services: As regulated under 42 CFR and other applicable state and federal law or regulation. Nevada Medicaid reimburses for covered medical services that are reasonable and medically necessary, ordered or performed by a physician or under the personal supervision of a physician, and that are within the scope ofpractice oftheir prognosis as defined by state law. Services must be performed by the physician or by a licensed professional working under the personal supervision ofthe physician, such as: a. Evaluation and consultation with providers of covered services for diagnostic and preventive services including participation in a multi-disciplinary team assessment; b. Record review for diagnostic and prescriptive services; c. Diagnostic and evaluation services to determine a recipient's medically related condition that results in the recipient's need for medical services. TN No Approval Date: Jut Effective Date: July 1,2009

3 Attachment 3.I-A Page 2c Licensed by the Board ofmedical Examiners or certification by the Nevada State Board of Osteopathic Medicine as a Physician Assistant to perform medical services under the supervision ofa supervising physician in which they perform the functions or actions, and must act only within the scope oftheir State license. C. Psychologists' services furnished in the school environment. Services: As regulated under 42 CFR (a) and other applicable state and federal law or regulation. Observation, description, evaluation, interpretation or modification of human behavior by the application of psychological principles, methods or procedures to prevent or eliminate disease, disability, problematic, unhealthy or undesired behavior and to enhance personal relationships and behavioral and mental health towards the appropriate reduction ofa mental impairment to the child's best possible functionallevei. Service includes: a. Mental health assessment; b. Psychological testing (non-educational cognitive); c. Assessment of motor language, social, adaptive and/or cognitive functioning by standardized developmental instruments; d. Psychotherapy (group/individual). A doctoral degree in psychology obtained from an approved doctoral program in psychology accredited by the American Psychological Association (APA) or a doctoral program in psychology accredited individually or as part of an institutional accreditation by another private or governmental accrediting agency, when the association's or agency's standards and procedures have been approved by the State Board ofpsychologist Examiners. Licensed in the state in which they perform the functions or actions, and must act only within the scope oftheir State license. D. Registered Nurses and Licensed Practical Nurses services furnished in the school environment. Services: As regulated under 42 CFR (a) and other applicable state and federal law or regulation. Skilled nursing refers to assessments, judgments, interventions and evaluation of interventions which require the education, training and experience of a licensed nurse to complete. Services must be based on an assessment and supporting documentation that describes the complexity and intensity ofthe recipient's care and the frequency of skilled nursing interventions. TN No Approval Date: J0[ 2a 2009 Effective Date: July 1, 2009

4 Attachment 3.1-A Page 2d Skilled nursing services are a covered service when provided by a registered nurse (RN) or a licensed practical nurse (LPN) under the supervision ofa registered nurse in accordance with the IEP/IFSP, to be safe and effective. An LPN may participate in the implementation ofthe plan of care for providing care to recipients under the supervision ofa licensed registered nurse, or physician, or nurse practitioners that meet the federal requirements at 42 CFR Services considered observational or stand-by in nature are not covered. Nursing Services are provided to an individual on a direct one-to-one basis on site within the school environment, such as: a. Catheterization or catheter care; b. Care and maintenance oftracheotomies; c. Prescription medication administration that is part ofthe IEPIlFSP; d. Oxygen administration; e. Tube feedings; f. Suctioning; g. Ventilator Care; h. Evaluations and assessments (RNs only). Provider Qualifications Nurses must be licensed by the Nevada Board of Nursing as a Registered Nurse (Nevada Revised Statutes (NRS) ) or, as a Licensed Practical Nurse (NRS ) in accordance with the Nurse Practice Act working within the scope oftheir practice. E. Advanced Nurse Practitioners' services furnished in the school environment. Services: As regulated under 42 CFR 440.l66 and other applicable state and federal law or regulation. Nursing evaluation and treatment services include: Assessment, treatment services, and supervision ofdelegated health care services provided to prevent disease, disability, other health conditions or their progression; prolong life; and promote physical and mental health and efficiency. Including any medical or remedial services recommended by a physician or other licensed practitioner ofthe healing arts, within the scope ofpractice under state law, for maximum reduction ofphysical and mental disability and restoration ofa recipient to his or her best possible functional level. Supervision for services provided to coordinating care and integrating nursing tasks and services that can be performed in a school environment, in addition to: a. Evaluation and consultation with providers of covered services for diagnostic and preventive services including participation in a multi-disciplinary team assessment; b. Record review for diagnostic and prescriptive services; c. Diagnostic and evaluation services to determine a recipient's medically related condition that results in the recipient's need for medical services. TN No Approval Date: JU[ Effective Date: July 1, 2009

5 Attachment 3.I-A Page 2e Provider Qualifications Hold a certificate ofrecognition as an advanced nurses practitioner by the Nevada Board of Nursing to perform medical services under the supervision of a supervising physician in which they perform the functions or actions, and must act only within the scope oftheir State certificate ofrecognition, in accordance with Nevada Revised Statutes (NRS) Chapter 632 and Nevada Administrative Code (NAC) Chapter 632, Nurse Practice Act. F. Physical therapy services furnished in the school environment. Services: As regulated under 42 CFR (a) and other applicable state and federal law or regulation. Physical therapy means services prescribed by a physician or other licensed practitioner of the healing arts within the scope ofpractice under state law and provided to a recipient by or under the direction ofa qualified physical therapist to ameliorate/improve neuromuscular, musculoskeletal and cardiopulmonary disabilities. Physical Therapy Evaluations and Treatments: includes assessing, preventing or alleviating movement dysfunction and related functional problems; obtaining and interpreting information; and coordinating care and integrating services relative to the recipient receiving treatment such as: a. Evaluation and diagnosis to determine the existence and extent of motor delays, disabilities and/or physical impairments effecting areas such as tone, coordination, movement, strength, and balance; b. Therapeutic exercise; c. Application ofheat, cold, water, air, sound, massage, and electricity; d. Measurements ofstrength, balance, endurance, range of motion; e. Individual or group therapy. A "qualified physical therapist" is an individual who is a graduate ofa program ofphysical therapy approved by both the Committee on Allied Health Education and Accreditation of the American Medical Association and the American Physical Therapy Association or its equivalent; and where applicable, licensed by the State. Physical therapy assistant is a person who is licensed as a physical therapist assistant, if applicable, by the State in which practicing (NRS ), and has graduated from a 2-year college-level program approved by the American Physical Therapy Association; or has 2 years of appropriate experience as a physical therapist assistant, and has achieved a satisfactory grade on a proficiency examination conducted, approved, or sponsored by the U.S. Public Health Service, except that these determinations ofproficiency do not apply with respect to persons initially licensed by a State or seeking initial qualification as a physical therapy assistant after December 31, TN No Approval Date:,! UI Effective Date: July l, 2009

6 Attachment3.I-A Page 2f All personnel who are involved in the furnishing of outpatient physical therapy services directly by or under arrangements with an organization must be legally authorized (licensed or, if applicable, certified or registered) to practice by the State in which they perform the functions or actions, and must act only within the scope of their State license or State certification or registr~tion. The physical therapist must be present or readily available to supervise a physical therapist assistant for prescribed supervised CPT modalities that do not require direct (one-on-one), patient contact by the licensed therapist. G. Occupational therapy services furnished in the school environment. Services: As regulated under 42 CFR O(b) and other applicable state and federal law or regulation. Occupational therapy means services prescribed by a physician or other licensed practitioner ofthe healing arts within the scope ofpractice under state law and provided to a recipient by or under the direction ofa qualified occupational therapist to ameliorate/improve functional disabilities. Occupational Therapy Evaluations and Treatments: Include assessing, improving, developing, or restoring functions impaired or lost through illness, injury or deprivation, improving ability to perform tasks for independent functioning when functions are lost or impaired, preventing through early intervention, initial or further impairment or loss of function; and obtaining and interpreting information; and coordinating care and integrating services, such as: a. Evaluation and diagnosis to determine the extent of disabilities in areas such as sensorimotor skills, self-care, daily living skills, play and leisure skills, and use of adaptive or corrective equipment; b.. Task-oriented activities to prevent or correct physical or emotional deficits to minimize the disabling effect ofthese deficits; c. Exercise to enhance functional performance; d. Individual and group therapy. A "qualified occupational therapist" is an individual who is a graduate of a program in occupational therapy approved by the Committee on Allied Health Education and Accreditation ofthe American Medical Association and engaged in the supplemental clinical experience required before registration by the American Occupational Therapy Association. Occupational therapy assistant is a person who has satisfied the academic requirement ofan educational program approved by the Board of Occupational Therapy and the American Occupational Therapy Association and is authorized (licensed or certified) to TN No Approval Date: _JU_L_2_0_20_09_ Effective Date: July 1, 2009

7 Attachment 3.l-A Page 2g practice by the State in which they perform the functions or actions, and must act only within the scope of their State license or State certification or registration. All personnel who are involved in the furnishing ofoutpatient occupational therapy services directly by or under arrangements with an organization must be legally authorized (licensed or, ifapplicable, certified or registered) to practice by the State in which they perform the functions or actions, and must act only within the scope of their State license or State certification or registration. The occupational therapist must be present or readily available to supervise an occupational therapist assistant for prescribed supervised CPT modalities that do not require direct (oneon-one), patient contact by the licensed therapist. H. Services for individuals with speech, hearing, and language disorders. Services: as regulated under 42 CFR 440.ll0(c) and other applicable state and federal law or regulation. Speech and language pathology services are those services necessary for the diagnosis and treatment ofspeech and language disorders that result in communication disabilities and for the diagnosis and treatment of swallowing disorders with or without the presence of a communication disability. The services must be of such a level of complexity and sophistication or the condition ofthe patient must be such that the services required can be safely and effectively performed only by a qualified therapist. The practice of audiology consists of rendering services for the measurement, testing, appraisal, prediction, consultation, counseling, research or treatment ofhearing and hearing impairment for the purpose of modifying disorders in communication involving speech, language and hearing. Audiology services must be performed by a certified and licensed audiologist. Treatment services such as: a. Speech and language evaluations and diagnosis ofdelay and/or disabilities to include voice, communication, fluency, articulation, or language development; b. Individual or group therapy; c. Audiological evaluation and diagnosis to determine the presence or extent of hearing impairments that affect the recipient's educational performance; d. Complete hearing and/or hearing aid evaluation, hearing aid fittings or re-evaluations, and audiograms. Speech and language pathologist's are required to have a State license or State certification or registration and have a certificate ofclinical competence from the American Speech and Hearing Association (ASHA); have completed the equivalent educational requirements and work experience necessary for the certificate; or has completed the academic program and is acquiring supervised work experience to qualify for the certificate; TN No Approval Date:,Ill! 2 a 2009 Effective Date: July I, 2009 Super<;;edes

8 Attachment 3.l-A Page 2h A qualified audiologist has a master's or doctoral degree in audiology which meets State licensure requirements. Per NRS 637B.160 they are licensed by the Board of Examiners for Audiology and Speech Pathology. I. Medical supplies, equipment, and appliance services furnished in the school environment. Services: As regulated under 42 CFR and other applicable state and federal law or regulation. Durable Medical Equipment (OME) is defined as equipment which can withstand repeated use, and is primarily and customarily used to serve a medical purpose, and generally is not useful to a person in the absence of illness or injury and is appropriate for use in the home. Disposable medical supplies are those items which are not reusable, and are primarily and customarily used to serve a medical purpose, and generally are not useful to a person in the absence of an illness or injury. Service limitations: Nevada Medicaid covers standard medical equipment that meets the basic medical need ofthe recipient. Deluxe equipment will not be authorized when it is determined a standard model will meet the basic medical needs ofthe recipient. Items classified as educational or rehabilitative by nature are not covered under this benefit. The DME provider is required to have documentation ofphysician's orders prior to the dispensing ofany equipment or supplies. Prior authorization and service limitations are applicable for some equipment and supplies. Specific limitations can be found in Chapter 1300 ofthe Medicaid Services Manual. Providers dispensing durable medical equipment and medical supplies must be licensed with Medical Device Equipment and Gas through the Nevada Board ofpharmacy and be enrolled as a provider with the Division ofhealth Care Financing and Policy (DHCFP). Local Education Agency providers may dispense audiological supplies/equipment and medical supplies by their qualified practitioners acting within the scope of practice under state law. 4.c. 5.a. Family planning services are not covered for individuals whose age or physical condition precludes reproduction. Tubal ligations and vasectomies to permanently prevent conception are not covered for anyone under the age of 21 who is adjudged mentally incompetent or who is institutionalized. Podiatrists' services are limited to individuals under the age of21 and referred as a result ofa Healthy Kids (EPSDT) screening. TN No Approval Date: _J_U_L_2_0_2_00_9 Effective Date: July I, 2009

9 Attachment 3.I-A Page 6c Reserved TN No Approval Date: Jut Effective Date: July 1, 2009 TN No

10

11 STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT State Nevada Attachment 4.19-B Page 1b 4. EPSDT and Family Planning I. Early and periodic screening, diagnosis and treatment (EPSDT) services will be reimbursed the lower of a) billed charge, or b) fixed fee per unit as indicated for specific services listed elsewhere in this attachment. A. School Based Child Health Services (SBCHS) delivered by school districts and provided to children with disabilities in accordance with the Individuals with Disabilities Act (IDEA). Services include: 1. Physician's services, 2. Physician's assistant services, 3. Nursing services including registered nurses, licensed practical nurses and advanced nurse practitioners, 4. Psychological services, 5. Physical therapy services, 6. Speech therapy, language disorders and audiology services, 7. Occupational therapy services, and 8. Medical supplies, equipment and appliance services - Assistive Communication Devices, audiological supplies and other Durable Medical Equipment (DME). B. SBCHS - Reimbursement Methodology SBCHS described in Attachment 3.1-A, Page 2a-2h of the Nevada State Plan and provided by an enrolled school district are reimbursed the lower of: a) billed charg~s; or b) a fixed fee schedule. A fixed fee schedule: as indicated for specific services listed elsewhere in this attachment e.g., psychologist services, nursing services, and therapy services. All rates are published on the agency's website: The Agency's rates are set as ofjuly 1, 2009 and are effective for services on or after July 1, Except as otherwise noted in the plan, state developed fee schedule rates are the same for both governmental and private providers of SBCHS and the fee schedule and any annual/periodic adjustments to the fee schedule are published on the agency's website: II. Family planning services and supplies: as indicated for specific services listed elsewhere in this attachment, e.g., physician services, prescribed drugs. TN No Approval Date: _J_U_L_2_0_2_00_9 Effective Date: July 1, 2009 TN No

NEW HAMPSHIRE CODE OF ADMINISTRATIVE RULES. PART He-M 1301 MEDICAL ASSISTANCE SERVICES PROVIDED BY EDUCATION AGENCIES

NEW HAMPSHIRE CODE OF ADMINISTRATIVE RULES. PART He-M 1301 MEDICAL ASSISTANCE SERVICES PROVIDED BY EDUCATION AGENCIES CHAPTER He-M 1300 SPECIALIZED SERVICES PART He-M 1301 MEDICAL ASSISTANCE SERVICES PROVIDED BY EDUCATION AGENCIES Statutory Authority: RSA 186-C:27; I-II He-M 1301.01 Purpose. The purpose of these rules

More information

MATRIX -School Based Child Health MSI Codes and Descriptions

MATRIX -School Based Child Health MSI Codes and Descriptions MATRIX -School Based Child Health s and Descriptions AUDIOLOGY 22 27 Hearing screening 23 28 Hearing service, miscellaneous under the direction of the Audiologist under the direction of the Audiologist,

More information

Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Current Approved State Plan Language

Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Current Approved State Plan Language Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Current Approved State Plan Language Limitations on Attachment 3.1-A Page 9 Type of Service Covered for Medi-Cal eligibles under 21 years

More information

School Based Medicaid Claiming Program Snapshot

School Based Medicaid Claiming Program Snapshot Occupational Therapy IEP; prescribed by a physician Registered by the American Occupational Therapy Association (now the NBCOT for certification purposes); or a graduate of a program in occupational therapy

More information

IOWA. State/Territory:

IOWA. State/Territory: Attachment 3.1-A PAGE - 10- State/Territory: 9. Clinic services as defined in 42 CFR 440.90 and as further described in Section 4320 (Clinic Services) of the State Medicaid Manual are provided with additional/imitations

More information

Services which exceed the limitations as listed in the policies and procedures manual must be approved prior to service delivery.

Services which exceed the limitations as listed in the policies and procedures manual must be approved prior to service delivery. Attachment 3.1-A Page 1i 4.b. EPSDT Related Rehabilitative Services Community Based (continued) Speech-Language Pathology Services Speech-language evaluation of auditory processing, expressive and receptive

More information

EPSDT HEALTH AND IDEA RELATED SERVICES

EPSDT HEALTH AND IDEA RELATED SERVICES EPSDT HEALTH AND IDEA RELATED SERVICES Chapter Twenty of the Medicaid Services Manual Issued March 01, 2013 Claims/authorizations for dates of service on or after October 1, 2015 must use the applicable

More information

CHAPTER 700 SCHOOL-BASED CLAIMING PROGRAM/DIRECT SERVICE CLAIMING 700 CHAPTER OVERVIEW... 700-1 710 MEDICAL AND FINANCIAL RECORDS...

CHAPTER 700 SCHOOL-BASED CLAIMING PROGRAM/DIRECT SERVICE CLAIMING 700 CHAPTER OVERVIEW... 700-1 710 MEDICAL AND FINANCIAL RECORDS... 700 CHAPTER OVERVIEW... 700-1 GENERAL REQUIREMENTS 700-1 REFERENCES. 700-3 710... 710-1 720 COVERED SERVICES... 720-1 A. AUDIOLOGY... 720-1 B. BEHAVIORAL HEALTH SERVICES... 720-2 BEHAVIORAL HEALTH PROVIDERS...

More information

CHAPTER 30. MEDICAL PROVIDERS-FEE FOR SERVICE SUBCHAPTER 5. INDIVIDUAL PROVIDERS AND SPECIALTIES PART 103

CHAPTER 30. MEDICAL PROVIDERS-FEE FOR SERVICE SUBCHAPTER 5. INDIVIDUAL PROVIDERS AND SPECIALTIES PART 103 CHAPTER 30. MEDICAL PROVIDERS-FEE FOR SERVICE SUBCHAPTER 5. INDIVIDUAL PROVIDERS AND SPECIALTIES PART 103. QUALIFIED SCHOOLS AS PROVIDERS OF HEALTH RELATED SERVICES 317:30-5-1023. Coverage by category

More information

SPECIAL EDUCATION AND RELATED SERVICES

SPECIAL EDUCATION AND RELATED SERVICES i SPECIAL EDUCATION AND RELATED SERVICES Updated May 2008 i It is the policy of the South Dakota Department of Education, Office of Educational Services and Supports to provide services to all persons

More information

SCHOOL HEALTH SERVICES PROGRAM PROGRAM MANUAL

SCHOOL HEALTH SERVICES PROGRAM PROGRAM MANUAL SCHOOL HEALTH SERVICES PROGRAM PROGRAM MANUAL Section 2 Covered Services The School Health Services Program is a joint effort between the Colorado Department of Education and Department of Health Care

More information

MEDICAID SERVICES MANUAL TRANSMITTAL LETTER CUSTODIANS OF MEDICAID SERVICES MANUAL TAMMY MOFFITT, CHIEF OF PROGRAM INTEGRITY

MEDICAID SERVICES MANUAL TRANSMITTAL LETTER CUSTODIANS OF MEDICAID SERVICES MANUAL TAMMY MOFFITT, CHIEF OF PROGRAM INTEGRITY MEDICAID SERVICES MANUAL TRANSMITTAL LETTER October 19, 2015 TO: FROM: SUBJECT: CUSTODIANS OF MEDICAID SERVICES MANUAL TAMMY MOFFITT, CHIEF OF PROGRAM INTEGRITY MEDICAID SERVICES MANUAL CHANGES CHAPTER

More information

PROVIDER POLICIES & PROCEDURES

PROVIDER POLICIES & PROCEDURES PROVIDER POLICIES & PROCEDURES REHABILITATION SERVICES The primary purpose of this document is to assist providers enrolled in the Connecticut Medical Assistance Program (CMAP Providers) with the information

More information

4. PROGRAM REQUIREMENTS

4. PROGRAM REQUIREMENTS TABLE OF CONTENTS iv 4. PROGRAM REQUIREMENTS 413.401: Introduction... 4-1 413.402: Definitions... 4-1 413.403: Eligible Members... 4-3 413.404: Provider Eligibility... 4-3 413.405: Services Provided by

More information

AL-12-003 Attachment 3.1-A Page 2.4b

AL-12-003 Attachment 3.1-A Page 2.4b Page 2.4b 4.b. Early and periodic screening, diagnosis and treatment services for individuals under 21 years of age, and treatment of conditions found. --- (Continued) Effective Date: 04/01/90 (4) Hearing

More information

Clarification of Medicaid Coverage of Services to Children with Autism

Clarification of Medicaid Coverage of Services to Children with Autism DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, Maryland 21244-1850 CMCS Informational Bulletin DATE: July 7, 2014

More information

Independent Therapist Provider Specific Policy Manual. Revision Table. Description. Sections Revised. Revision Date

Independent Therapist Provider Specific Policy Manual. Revision Table. Description. Sections Revised. Revision Date Provider Specific Policy Manual Revision Table Revision Date Sections Revised Description 5/1/04 New Manual Prior to 5/1/04, DMAP did not enroll or reimburse Independent Therapists for services. 9/1/2016

More information

MEDICAID AND SCHOOL HEALTH: A TECHNICAL ASSISTANCE GUIDE. August 1997

MEDICAID AND SCHOOL HEALTH: A TECHNICAL ASSISTANCE GUIDE. August 1997 MEDICAID AND SCHOOL HEALTH: A TECHNICAL ASSISTANCE GUIDE August 1997 This guide contains specific technical information on the Medicaid requirements associated with seeking payment for coverable services

More information

Chapter 17. Medicaid Provider Manual

Chapter 17. Medicaid Provider Manual Chapter 17 Medicaid Provider Manual February 2011 TABLE OF CONTENTS 17.1 Occupational Therapy... 1 17.1.1 Description... 1 17.1.2 Amount, Duration and Scope... 1 17.1.3 Exclusions... 1 17.1.4 Limitations...

More information

SECTION 2 PHYSICAL THERAPY SERVICES. BY INDEPENDENT PHYSICAL THERAPISTS (including Group Practices) Not in Rehabilitation Centers

SECTION 2 PHYSICAL THERAPY SERVICES. BY INDEPENDENT PHYSICAL THERAPISTS (including Group Practices) Not in Rehabilitation Centers Division of Health Care Financing Updated July 2009 SECTION 2 PHYSICAL THERAPY SERVICES BY INDEPENDENT PHYSICAL THERAPISTS (including Group Practices) Not in Rehabilitation Centers Table of Contents 1

More information

10-144 Chapter 101 MAINECARE BENEFITS MANUAL CHAPTER II SECTION 68 OCCUPATIONAL THERAPY SERVICES ESTABLISHED 9/1/87 LAST UPDATED 1/1/14

10-144 Chapter 101 MAINECARE BENEFITS MANUAL CHAPTER II SECTION 68 OCCUPATIONAL THERAPY SERVICES ESTABLISHED 9/1/87 LAST UPDATED 1/1/14 MAINECARE BENEFITS MANUAL TABLE OF CONTENTS 68.01 PURPOSE... 1 PAGE 68.02 DEFINITIONS... 1 68.02-1 Functionally Significant Improvement... 1 68.02-2 Long-Term Chronic Pain... 1 68.02-3 Maintenance Care...

More information

Q: Is there an age limit on students who can be billed under the Program? A: Yes. The children billed must be under age 21.

Q: Is there an age limit on students who can be billed under the Program? A: Yes. The children billed must be under age 21. Frequently Asked Questions for the New Massachusetts School Based Medicaid Claiming Program (Developed by MSB based on guidance in the new provider agreement) Q: Do School Districts in Massachusetts have

More information

Early Intervention Service Procedure Codes, Limits and Rates

Early Intervention Service Procedure Codes, Limits and Rates BABIES INFORMATION AND BILLING SYSTEM Early Intervention Service Procedure Codes, Limits and Rates Georgia Department of Public Health Office of Maternal and Child Health Children and Youth with Special

More information

Section 2. Physical Therapy and Occupational Therapy Services

Section 2. Physical Therapy and Occupational Therapy Services Division of Medicaid and Health Financing Updated July 2015 Section 2 Table of Contents 1 General Information... 2 1-1 General Policy... 2 1-2 Fee-For-Service or Managed Care... 3 1-3 Definitions... 3

More information

TABLE OF CONTENTS. Foreword Overview of School Based Services Program... 2

TABLE OF CONTENTS. Foreword Overview of School Based Services Program... 2 Deparrttmentt off Speciall Educatti ion MEDICAID SCHOOL BASED SERVICES FEE-FOR-SERVICE PROGRAM Billing Reference Guide Revision Date: 12/01/2011 TABLE OF CONTENTS Foreword... 1 Overview of School Based

More information

Q&A: Related Services

Q&A: Related Services Q&A: Related Services The (MDE), Division of Compliance and Assistance, has developed this document to assist school districts and parents who have raised questions about related services. The intention

More information

Florida Medicaid THERAPY SERVICES COVERAGE AND LIMITATIONS HANDBOOK

Florida Medicaid THERAPY SERVICES COVERAGE AND LIMITATIONS HANDBOOK Florida Medicaid THERAPY SERVICES COVERAGE AND LIMITATIONS HANDBOOK Agency for Health Care Administration August 2013 How to Use the Update Log UPDATE LOG THERAPY SERVICES COVERAGE AND LIMITATIONS HANDBOOK

More information

Therapist in Private Practice or Group Practice

Therapist in Private Practice or Group Practice Therapist in Private Practice or Group Practice Occupational Therapist, Physical Therapist, and Speech-Language Pathologist in private practice include therapists who are practicing therapy as employees

More information

Local Education Agency

Local Education Agency KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL Local Education Agency Updated 08/07 PART II Introduction Section BILLING INSTRUCTIONS Page 7000 Local Education Agency Billing Instructions...........

More information

Florida Medicaid. Medicaid Certified School Match Program Coverage and Limitations Handbook. Agency for Health Care Administration

Florida Medicaid. Medicaid Certified School Match Program Coverage and Limitations Handbook. Agency for Health Care Administration Florida Medicaid Medicaid Certified School Match Program Coverage and Limitations Handbook Agency for Health Care Administration This page is intentionally blank. This page is intentionally blank. UPDATE

More information

Administrative Guide

Administrative Guide Community Plan KanCare Program Physician, Health Care Professional, Facility and Ancillary Provider Administrative Guide Doc#: PCA15026_20150129 UHCCommunityPlan.com Welcome to UnitedHealthcare This administrative

More information

NEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES POLICY GUIDELINES

NEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES POLICY GUIDELINES NEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES POLICY GUIDELINES Version 2015-1 Page 1 of 11 Table of Contents SECTION I REQUIREMENTS FOR PARTICIPATION IN MEDICAID 3 QUALIFIED PRACTITIONERS. 3

More information

POLICY 4060 MEDICAID REIMBURSEMENT FOR HEALTH-RELATED SERVICES. I. Policy Statement

POLICY 4060 MEDICAID REIMBURSEMENT FOR HEALTH-RELATED SERVICES. I. Policy Statement BOARD OF EDUCATION POLICY 4060 MEDICAID REIMBURSEMENT FOR HEALTH-RELATED SERVICES Effective: July 1, 2009 I. Policy Statement The Board of Education recognizes its responsibilities to provide services

More information

Occupational Therapy

Occupational Therapy Occupational Therapy Policy Number: Original Effective Date: MM.09.003 07/15/2003 Line(s) of Business: Current Effective Date: HMO; PPO; EUTF; HSTA; QUEST; Federal Plan 87 02/01/2012 Line(s) of Business

More information

Arkansas Department of Health and Human Services Division of Medical Services P.O. Box 1437, Slot S-295 Little Rock, AR 72203-1437

Arkansas Department of Health and Human Services Division of Medical Services P.O. Box 1437, Slot S-295 Little Rock, AR 72203-1437 Arkansas Department of Health and Human Services Division of Medical Services P.O. Box 1437, Slot S-295 Little Rock, AR 72203-1437 Fax: 501-682-2480 TDD: 501-682-6789 & 1-877-708-8191 Internet Website:

More information

Infant & Toddler Connections of Virginia DRAFT Provider Qualifications 1 Table

Infant & Toddler Connections of Virginia DRAFT Provider Qualifications 1 Table Infant & Toddler Connections of Virginia DRAFT Provider Qualifications 1 Table Audiologist Master s degree plus state licensure Specialist Associate Assistant Screening Audiology, Certified Therapeutic

More information

September 13, 2011 ASSEMBLY BILL 114: NONPUBLIC AGENCY CERTIFICATION

September 13, 2011 ASSEMBLY BILL 114: NONPUBLIC AGENCY CERTIFICATION Page 1 September 13, 2011 Dear County and District Superintendents, Special Education Local Plan Area Directors, Special Education Administrators at County Offices of Education, Charter School Administrators,

More information

Occupational therapy Speech-language pathology (SLP)

Occupational therapy Speech-language pathology (SLP) 2009 Medicaid Transformation Program Review Outpatient Therapy Services Description Rehabilitative therapy services are optional Medicaid services which include physical therapy, occupational therapy,

More information

Referred to Committee on Commerce and Labor. SUMMARY Revises provisions relating to autism spectrum disorders. (BDR 54-67)

Referred to Committee on Commerce and Labor. SUMMARY Revises provisions relating to autism spectrum disorders. (BDR 54-67) A.B. ASSEMBLY BILL NO. COMMITTEE ON COMMERCE AND LABOR (ON BEHALF OF THE LEGISLATIVE COMMITTEE ON HEALTH CARE) PREFILED DECEMBER, 0 Referred to Committee on Commerce and Labor SUMMARY Revises provisions

More information

Cenpatico STRS POLICIES & PROCEDURES. Effective Date: 07/11/11 Review/Revision Date: 07/11/11, 09/21/11

Cenpatico STRS POLICIES & PROCEDURES. Effective Date: 07/11/11 Review/Revision Date: 07/11/11, 09/21/11 Page 1 of 14 SCOPE: Clinical Department IMPORTANT REMINDER This Clinical Policy has been developed by appropriately experienced and licensed health care professionals based on a thorough review and consideration

More information

Occupational Therapy

Occupational Therapy Occupational Therapy I. Policy University Health Alliance (UHA) will reimburse for occupational therapy when it is determined to be medically necessary and when it meets the medical criteria guidelines

More information

SHARS Billing Guidelines (Effective 9/1/06)

SHARS Billing Guidelines (Effective 9/1/06) Updated December 1, 2007 SHARS Billing Guidelines (Effective 9/1/06) Psychological Services - Assessment Services Procedure Code: 96101 Psychological testing (includes psychodiagnostic assessment of personality,

More information

PART I DEPARTMENT OF PERSONNEL SERVICES 6.347 STATE OF HAWAII 6.348... 6.349 6.350 Class Specification for the SPEECH PATHOLOGY SERIES

PART I DEPARTMENT OF PERSONNEL SERVICES 6.347 STATE OF HAWAII 6.348... 6.349 6.350 Class Specification for the SPEECH PATHOLOGY SERIES PART I DEPARTMENT OF PERSONNEL SERVICES 6.347 STATE OF HAWAII 6.348............................. 6.349 6.350 Class Specification for the SPEECH PATHOLOGY SERIES This series includes all classes of positions

More information

410-127-0020 Definitions... 1. 410-127-0040 Coverage... 5. 410-127-0050 Client Copayments... 6. 410-127-0060 Reimbursement and Limitations...

410-127-0020 Definitions... 1. 410-127-0040 Coverage... 5. 410-127-0050 Client Copayments... 6. 410-127-0060 Reimbursement and Limitations... Home Health Services Administrative Rulebook Division of Medical Assistance Programs Policy and Planning Section Table of Contents Chapter 410, Division 127 Effective January 1, 2014 410-127-0020 Definitions...

More information

OCCUPATIONAL THERAPY

OCCUPATIONAL THERAPY OCCUPATIONAL THERAPY This document is subject to change. Please check our web site for updates. This provider manual outlines policy and claims submission guidelines for claims submitted to the North Dakota

More information

PROVIDER MANUAL Rehabilitative Therapy Services

PROVIDER MANUAL Rehabilitative Therapy Services KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL Rehabilitative Therapy Services Physical Therapy Occupational Therapy Speech/Language Pathology PART II REHABILITATIVE THERAPY PROVIDER MANUAL Introduction

More information

ANALYSIS AS REPORTED FROM COMMITTEE

ANALYSIS AS REPORTED FROM COMMITTEE OCCUPATIONAL THERAPIST LICENSURE S.B. 921 (S-2): ANALYSIS AS REPORTED FROM COMMITTEE Senate Bill 921 (Substitute S-2 as reported) Sponsor: Senator Roger Kahn, M.D. Committee: Health Policy Date Completed:

More information

State of Connecticut Department of Social Services Medicaid SBCH Program

State of Connecticut Department of Social Services Medicaid SBCH Program State of Connecticut Department of Social Services Medicaid SBCH Program Billing Manual, Department of Administrative Services Medicaid Services Information Forms and Instructions September 2014 1 P a

More information

Physical Therapy MM.09.005 07/15/2003

Physical Therapy MM.09.005 07/15/2003 Physical Therapy Policy Number: Original Effective Date: MM.09.005 07/15/2003 Line(s) of Business: Current Effective Date: HMO; PPO; EUTF; HSTA; QUEST; Federal Plan 87 09/28/2012 Line(s) of Business Excluded:

More information

outpatient physical therapy speech pathology survey report

outpatient physical therapy speech pathology survey report outpatient physical therapy speech pathology survey report 42 CFR 485.703 Definitions (a) Clinic. A facility that is established primarily to furnish outpatient physician services and that meets the following

More information

CALIFORNIA SPECIAL EDUCATION MANAGEMENT INFORMATION SYSTEM (CASEMIS) SERVICE DESCRIPTIONS. San Diego Unified SELPA

CALIFORNIA SPECIAL EDUCATION MANAGEMENT INFORMATION SYSTEM (CASEMIS) SERVICE DESCRIPTIONS. San Diego Unified SELPA 210 Family training, counseling, and home visits(ages 0-2 only): This service includes: services provided by social workers, psychologists, or other qualified personnel to assist the family in understanding

More information

School-Based Health Services Program Rulebook

School-Based Health Services Program Rulebook Division of Medical Assistance Programs School-Based Health Services Program Rulebook Division 133 Includes: 1) Table of Contents 2) Current Update Information (changes since last update) 3) Other Provider

More information

Physical Therapy. Physical Therapy Payment Policy Policy number M.RTH.02.120301 effective 10/01/2015. Page 1

Physical Therapy. Physical Therapy Payment Policy Policy number M.RTH.02.120301 effective 10/01/2015. Page 1 Physical Therapy I. Policy University Health Alliance (UHA) will reimburse for physical therapy when it is determined to be medically necessary and when it meets the medical criteria guidelines (subject

More information

PART I DEPARTMENT OF PERSONNEL SERVICES 6.342 STATE OF HAWAII 6.343... 6.344. Class Specifications for the AUDIOLOGY SERIES

PART I DEPARTMENT OF PERSONNEL SERVICES 6.342 STATE OF HAWAII 6.343... 6.344. Class Specifications for the AUDIOLOGY SERIES PART I DEPARTMENT OF PERSONNEL SERVICES 6.342 STATE OF HAWAII 6.343............................. 6.344 Class Specifications for the AUDIOLOGY SERIES This series includes all classes of positions, the duties

More information

PROTOCOLS FOR SPEECH THERAPY PROVIDERS

PROTOCOLS FOR SPEECH THERAPY PROVIDERS PROTOCOLS FOR SPEECH THERAPY PROVIDERS Type of Services Provided Services provided by Speech Therapy (or Speech Pathology) providers are covered for Santa Barbara Health Initiative (SBHI), San Luis Obispo

More information

LIFE CARE PLANS. 2014 Judicial Conference Panel Discussion November 17, 2014

LIFE CARE PLANS. 2014 Judicial Conference Panel Discussion November 17, 2014 LIFE CARE PLANS 2014 Judicial Conference Panel Discussion November 17, 2014 LIFE CARE PLANNER At the beginning of the damages phase, the parties should discuss whether they can agree to use a single life

More information

The Role of Physical Therapy with Infants, Toddlers, and their Families in Early Intervention

The Role of Physical Therapy with Infants, Toddlers, and their Families in Early Intervention The Role of Physical Therapy with Infants, Toddlers, and their Families in Early Intervention AMERICAN PHYSICAL THERAPY ASSOCIATION SECTION ON PEDIATRICS EARLY INTERVENTION SPECIAL INTEREST GROUP Who are

More information

Speech-Language Pathology (SLP)

Speech-Language Pathology (SLP) Speech-Langu Pathology (SLP) Services Chapter.1 Enrollment..................................................................... -2.2 Benefits, Limitations, and Authorization Requirements...........................

More information

Related Services: How Do Special Needs Education Relate to Your Child?

Related Services: How Do Special Needs Education Relate to Your Child? Related Services: How Do Special Needs Education Relate to Your Child? Family Driven Non-Profit 501(c)3 What makes FND unique is that the majority of our Board of Directors, all of our Management Staff

More information

Overview of the Florida Medicaid Therapy Services Coverage and Limitations Handbook

Overview of the Florida Medicaid Therapy Services Coverage and Limitations Handbook Overview of the Florida Medicaid Therapy Services Coverage and Limitations Handbook 2 Introduction Medicaid reimburses for physical therapy (PT), occupational therapy (OT), respiratory therapy (RT), and

More information

Chapter. 34Speech-Language Pathology (SLP) Services

Chapter. 34Speech-Language Pathology (SLP) Services 34Speech-Langu Pathology (SLP) Services Chapter 34 34.1 Enrollment..................................................................... 34-2 34.2 Benefits, Limitations, and Authorization Requirements...........................

More information

By: R.L. Ramsdell, Ph.D., FACFEI, DABFE, CFC, LFMAAMA

By: R.L. Ramsdell, Ph.D., FACFEI, DABFE, CFC, LFMAAMA By: R.L. Ramsdell, Ph.D., FACFEI, DABFE, CFC, LFMAAMA WHO CAN PROVIDE THERAPY FOR MY MEDICARE PATIENT? This is probably one of our most frequent inquiries from non-client practices and one of the most

More information

PRESCHOOL PLACEMENT CATEGORIES

PRESCHOOL PLACEMENT CATEGORIES PRESCHOOL PLACEMENT CATEGORIES CASEMIS 20 EARLY CHILDHOOD SPECIAL EDUCATION SETTING Early Childhood Special Education Setting: This is a placement setting where children receive all of their special education

More information

Preparation "Speech Language Pathologist Overview"

Preparation Speech Language Pathologist Overview Speech Language Pathologist Overview The Field - Preparation - Day in the Life - Earnings - Employment - Career Path Forecast - Professional Organizations The Field Speech-language pathologists, sometimes

More information

STATE OF NEW JERSEY SCHOOL BASED MEDICAID REIMBURSEMENT PROGRAMS PROVIDER HANDBOOK

STATE OF NEW JERSEY SCHOOL BASED MEDICAID REIMBURSEMENT PROGRAMS PROVIDER HANDBOOK STATE OF NEW JERSEY SCHOOL BASED MEDICAID REIMBURSEMENT PROGRAMS PROVIDER HANDBOOK School Year 2014-2015 TABLE OF CONTENTS Introduction 1 CHAPTER 1: MEDICAID OVERVIEW.. 2 CHAPTER 2: SEMI OVERVIEW.. 5 CHAPTER

More information

Lock in Your Team: The Role of the School Nurse in Special Education

Lock in Your Team: The Role of the School Nurse in Special Education Lock in Your Team: The Role of the School Nurse in Special Education 2009 National Alliance for Medicaid in Education Thursday, October 15, 10:45 AM 12:15 PM Derby Janet Lowe, LSN, CPN, MA Lock In : To

More information

NJ FamilyCare D. Medicaid, NJ FamilyCare A and Alternative Benefit Plan (ABP) NJ FamilyCare B NJ FamilyCare C

NJ FamilyCare D. Medicaid, NJ FamilyCare A and Alternative Benefit Plan (ABP) NJ FamilyCare B NJ FamilyCare C Service Medicaid, NJ FamilyCare A and Alternative Benefit Plan (ABP) NJ Division of Developmental Disabilities (DDD) NJ FamilyCare B NJ FamilyCare C NJ FamilyCare D Abortions and related services (covered

More information

BASIC PLAN (For Low-Income Children and Working-Age Adults) BENCHMARK BENEFIT PACKAGE

BASIC PLAN (For Low-Income Children and Working-Age Adults) BENCHMARK BENEFIT PACKAGE 3.R ESSENTIAL PROVIDERS BASIC PLAN (For Low-Income Children and Working-Age Adults) The Basic Benchmark Benefit Package includes Clinic Services and Rehabilitative Services furnished by certain essential

More information

NEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES PROCEDURE CODES & FEE SCHEDULE

NEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES PROCEDURE CODES & FEE SCHEDULE NEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES PROCEDURE CODES & FEE SCHEDULE Table of Contents General Rules and Information... 3 Occupational Therapist, Physical Therapist and Speech Language

More information

IDAPA 2/18/2015. School Based Medicaid Related Services. 16.03.09 School Based Medicaid 24.23.01 - SLP 24.06.01 OT 24.13.01 PT

IDAPA 2/18/2015. School Based Medicaid Related Services. 16.03.09 School Based Medicaid 24.23.01 - SLP 24.06.01 OT 24.13.01 PT School Based Medicaid Related Services Presenters: Shannon Dunstan, Department of Education Frede Trenkle, Department of Health and Welfare What will be presented: Implementation of School Based Medicaid

More information

State Operations Manual Appendix E - Guidance to Surveyors: Outpatient Physical Therapy or Speech Pathology Services

State Operations Manual Appendix E - Guidance to Surveyors: Outpatient Physical Therapy or Speech Pathology Services State Operations Manual Appendix E - Guidance to Surveyors: Outpatient Physical Therapy or Speech Pathology Services Transmittals for Appendix E INDEX 485.703 Definitions (Rev. 119, 07-25-14) 485.707 Condition

More information

Yes, per qualifications outlined in the SEMI Provider Handbook, Practitioners must

Yes, per qualifications outlined in the SEMI Provider Handbook, Practitioners must FAQ s #1. Are clinical fellowship year (CFY) practitioners (service providers who are in the process of earning their Certificate of Clinical Competence (CCC) required to work under the direction? Yes,

More information

PART I DEPARTMENT OF PERSONNEL SERVICES 6.281 STATE OF HAWAII 6.286... 6.287 6.298 Class Specifications for the

PART I DEPARTMENT OF PERSONNEL SERVICES 6.281 STATE OF HAWAII 6.286... 6.287 6.298 Class Specifications for the PART I DEPARTMENT OF PERSONNEL SERVICES 6.281 STATE OF HAWAII 6.286................................................................ 6.287 6.298 Class Specifications for the Series Definition: OCCUPATIONAL

More information

HEALTH AND SOCIAL SERVICES 116-6

HEALTH AND SOCIAL SERVICES 116-6 HEALTH AND SOCIAL SERVICES 116-6 Chapter PW-MA 25 MEDICAL ASSISTANCE PROGRAM PSYCHOTHERAPY PW-MA 25.01 introduction PW-MA 25.04 Freedom of choice PW-MA 25.92 Definitions PW-MA 26.05 Group sessions PW-MA

More information

PROVIDER BULLETIN No. 05-05

PROVIDER BULLETIN No. 05-05 PROVIDER BULLETIN No. 05-05 February 15, 2005 TO: FROM: BY: RE: Speech Therapy Providers Mary Steiner, Interim Administrator, Medicaid Division Marsha Rekart, Program Specialist Medicaid coverage of speech

More information

Occupational Therapy Program

Occupational Therapy Program Health Care Authority Occupational Therapy Program Billing Instructions [WAC 182-545-0300] About This Publication This publication supersedes all previous Agency Occupational Therapy Program Billing Instructions

More information

Local Education Agency

Local Education Agency KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL Local Education Agency PART II Introduction Section Page 7000 Local Education Agency Billing Instructions............ 7-1 7010 Local Education Agency Billing

More information

Medicaid School Based Services

Medicaid School Based Services Medicaid School Based Services An Educator s Guide to Fee for Service and Administrative Outreach Programs Newaygo County Regional Educational Service Agency Newaygo County Regional Educational Agency

More information

Essential Functions for Graduate Students in Speech-Language Pathology

Essential Functions for Graduate Students in Speech-Language Pathology Essential Functions for Graduate Students in Speech-Language Pathology Introduction The Grand Valley State University Department of Communication Sciences and Disorders speech-language pathology and audiology

More information

Connecticut Data as of July 2003

Connecticut Data as of July 2003 Mental Health and Substance Abuse Services in Medicaid and SCHIP in Connecticut As of July 2003, 378,961 people were covered under Connecticut Medicaid/SCHIP programs. There were 364,692 enrolled in the

More information

DISTRICT OF COLUMBIA MUNICIPAL REGULATIONS for SPEECH- LANGUAGE PATHOLOGY

DISTRICT OF COLUMBIA MUNICIPAL REGULATIONS for SPEECH- LANGUAGE PATHOLOGY DISTRICT OF COLUMBIA MUNICIPAL REGULATIONS for SPEECH- LANGUAGE PATHOLOGY 1 CHAPTER 79 SPEECH-LANGUAGE PATHOLOGY Sections 7900 General Provisions 7901 Term of License 7902 Educational Requirements 7903

More information

GUIDELINES AND SERVICES FOR OCCUPATIONAL THERAPY AND PHYSICAL THERAPY

GUIDELINES AND SERVICES FOR OCCUPATIONAL THERAPY AND PHYSICAL THERAPY GUIDELINES AND SERVICES FOR OCCUPATIONAL THERAPY AND PHYSICAL THERAPY Linda Paule, Coordinator San Bernardino City Unified School District Dr. Patty Imbiorski, Director Special Education TABLE OF CONTENTS

More information

Fee For Service Program. Medicaid Reimbursable School Nursing Services September 2008

Fee For Service Program. Medicaid Reimbursable School Nursing Services September 2008 Fee For Service Program Medicaid Reimbursable School Nursing Services September 2008 Agenda Introductions Fee For Service Program Addition of Nursing Services Questions Program Overview Under IDEA, children

More information

Health Professionals who Support People Living with Dementia

Health Professionals who Support People Living with Dementia Clinical Access and Redesign Unit Health Professionals who Support People Living with Dementia (in alphabetical order) Health Professional Description Role in care of people with dementia Dieticians and

More information

Infants and Toddlers Program. Provider Manual

Infants and Toddlers Program. Provider Manual Infants and Toddlers Program Provider Manual Provider 1 TABLE OF CONTENTS Chapter I. General Program Policies Chapter II. Member Eligibility Chapter IV. Billing Iowa Medicaid Appendix III. Provider-Specific

More information

Provider Qualifications

Provider Qualifications Provider Qualifications The following establishes general qualifications for providers by type of service. Additional qualifications may need to be met depending on the program and related funding source

More information

Other diagnostic, screening, preventive, and rehabilitative services, i.e., other. than those provided elsewhere in the plan.

Other diagnostic, screening, preventive, and rehabilitative services, i.e., other. than those provided elsewhere in the plan. State Ut Ohio Attachment 3.1 -A Item 13 -d 1- Page 1 of 28 13. Other diagnostic, screening, preventive, and rehabilitative services, i.e., other 1. Rehabilitative services provided by community mental

More information

CHAPTER 515 COVERED SERVICES, LIMITATIONS, AND EXCLUSIONS FOR OCCUPATIONAL/PHYSICAL THERAPY SERVICES CHANGE LOG

CHAPTER 515 COVERED SERVICES, LIMITATIONS, AND EXCLUSIONS FOR OCCUPATIONAL/PHYSICAL THERAPY SERVICES CHANGE LOG CHAPTER 515 COVERED SERVICES, LIMITATIONS, AND EXCLUSIONS FOR OCCUPATIONAL/PHYSICAL THERAPY SERVICES CHANGE LOG Replace Title Change Date Effective Date Section 515.1 Definitions 02/08/05 05/01/05 Section

More information

Medicaid School Based Services (SBS) Fee-for-Service Program

Medicaid School Based Services (SBS) Fee-for-Service Program Bulletin Michigan Department of Community Health Distribution: School Based Services 04-01 Issued: March 1, 2004 Subject: New Codes and Revisions LPN Services Addition Effective: April 1, 2004 Programs

More information

Therapy Services INDIANA HEALTH COVERAGE PROGRAMS. Copyright 2016 Hewlett Packard Enterprise Development LP

Therapy Services INDIANA HEALTH COVERAGE PROGRAMS. Copyright 2016 Hewlett Packard Enterprise Development LP INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE M ODULE Therapy Services L I B R A R Y R E F E R E N C E N U M B E R : P R O M O D 0 0 0 4 9 P U B L I S H E D : F E B R U A R Y 2 5, 2 0 1 6 P O L I

More information

15 HB 429/AP A BILL TO BE ENTITLED AN ACT

15 HB 429/AP A BILL TO BE ENTITLED AN ACT House Bill 429 (AS PASSED HOUSE AND SENATE) By: Representatives Stephens of the 164 th, Wilkinson of the 52 nd, Shaw of the 176 th, Dollar of the 45 th, Rogers of the 29 th, and others A BILL TO BE ENTITLED

More information

To help improve the educational experience and general wellbeing of those students who are unable to profit from the existing school program.

To help improve the educational experience and general wellbeing of those students who are unable to profit from the existing school program. LOCATOR: 3.01 TITLE: School Psychologist QUALIFICATIONS: 1. Valid Connecticut certification with endorsement as psychologist. 2. Such alternatives to the above qualifications as the Board may find appropriate

More information

AMERICAN PSYCHOLOGICAL ASSOCIATION

AMERICAN PSYCHOLOGICAL ASSOCIATION A. Definitions AMERICAN PSYCHOLOGICAL ASSOCIATION MODEL LEGISLATION FOR PRESCRIPTIVE AUTHORITY Approved by APA Council of Representatives, 2009 (1) Board means the {state psychology licensing board}. (2)

More information

TN No: 09-024 Supersedes Approval Date:01-27-10 Effective Date: 10/01/09 TN No: 08-011

TN No: 09-024 Supersedes Approval Date:01-27-10 Effective Date: 10/01/09 TN No: 08-011 Page 15a.2 (iii) Community Support - (adults) (CS) North Carolina is revising the State Plan to facilitate phase out of the Community Support - Adults service, which will end effective July 1, 2010. Beginning

More information

MHTL 3340-08-01. Medicaid Handbook Transmittal Letter (MHTL) 3340-08-01 January 9, 2008

MHTL 3340-08-01. Medicaid Handbook Transmittal Letter (MHTL) 3340-08-01 January 9, 2008 Legal/Policy Central JFS Home Search Center - Calendar >> emanuals Home >> Ohio Health Plans - Provider >> Physical Therapy Services Forms Central Previous Page Next Page Back to Search Results Previous

More information

May 2006. American Speech-Language-Hearing Association 1. 2006 Focused Initiative on Health Care Reimbursement. Last updated February 2009.

May 2006. American Speech-Language-Hearing Association 1. 2006 Focused Initiative on Health Care Reimbursement. Last updated February 2009. Summary of the Department of Health and Human Services Office of Inspector General's (OIG) Findings of the Delivery of Medicaid Speech- Language Pathology Services in the Schools 1 May 2006 Lack of documentation

More information

REV. JULY 1, 2008 NEBRASKA DEPARTMENT OF NMAP SERVICES MANUAL LETTER # 51-2008 HEALTH AND HUMAN SERVICES 471 NAC 17-000

REV. JULY 1, 2008 NEBRASKA DEPARTMENT OF NMAP SERVICES MANUAL LETTER # 51-2008 HEALTH AND HUMAN SERVICES 471 NAC 17-000 MANUAL LETTER # 51-2008 HEALTH AND HUMAN SERVICES 471 NAC 17-000 CHAPTER 17-000 PHYSICAL THERAPY SERVICES 17-001 Standards for Participation: To participate in the Nebraska Medical Assistance Program (NMAP),

More information

Henrico County Public Schools Department of Exceptional Education

Henrico County Public Schools Department of Exceptional Education Henrico County Public Schools Department of Exceptional Education EDUCATIONAL EVALUATION CRITERIA FOR CONSIDERATION OF PRIVATE EVALUATIONS Revised 06/12/2013 Professionals utilize educational evaluations

More information